3110 W MUKILTEO BLVD 2018-01-02 MF Import

Application For �� PUBLIC WORKS PERMIT Date J J/ �/[ 4[-77 Works Permit # qM1 12 PUBLIC WORKS DEPARTMENT Public Z. 3200 Cedar Street Everett, WA 98201 259-8B10 Building Permit If SUN 18 19yi; ' -'"I POSTING 2O— —-lxublic Works Fee $ TYPE OR PRINT ONLY CaTr—, Nwimc FbP.tiK 1003 Wa9o1Lg �def� V%G gS204� ZCof—Co3�Z Owner Mailing Address City Zip Phone 1:- c; :.: ::.- (Zi k�r� H Let; �ssec i 55 =1� ,Adt t E*JCO COWS; 7-Ct,—,Nft - 46T1 Applicant Mailing Address $�. I Ie-vLlEityVeil, Zip V Phone Describe Proposed Work v M0v(, under reurd -putt -Ez.rlks cajkllocn' ores ;Rr18 W YL° vice W;-bl -Ivue. G(Mln,:4 - -4110 ® ♦♦�^^ V+ PROJECT ADDRESS (if known) OgO3 WCZ15 n 1ZGt Z 1ZDGt�C�C t tP_.Y ca Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: _ •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O •Centerline of street •Indicate North *Show any reposed grading changes •Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. z 2. All work shall be performed in accordance with this permit and current City of Everett Design and O Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig, TOLL FREE NUMBER 1-800-424-5555. I The old tank must be pumped ot'product prior to removal. No product or rinse water may be disposed of in such a way that it could enter the storm drainage system. =. To help minimize erosion, any spuil piles must be covered with plastic sheeting or other O impervious covering staked to flue ground or anchored with rocks or sandbags. 3. Berns, earthen or otherwise, should be constructed at the perimeter of excavated areas M a prevent acljaeant site runoff fi•om entering the excavations. 4. Tank removal should be performed dw ing a period of expected dry weather to minimize potential erosion problems and contamination of runoff waters. �. If contamination ofthe sul rou ndigg soils is discovered, and remediation will take place, at erosion control plat must be submitted for approval by the Public Works Deparainent. G. All applicable Department of Ecology rules and regulations must be followed. A5rxxr P-lao sijlc-m'.4: ec�! wrrh 3I�PI;eL2�f��en. [7, �1 t,� /- 4. C:. C17CC_11-1 r'rC. Lcl'Z. r" 11'IOnY�. {�2iM ll. "ti'� Abok�?c Ci�2VrCP�(�bl'' -. 't i CG,"PIy wf7h c-r,n C;- iv.,I fqC Q,►/vl <<Cp—� 3/21/cicc Approved for Con tmclion Ualc FINAL INSPECTION Date Approved as Constructed ;6CKNOWLEDGEMENTOF' ONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or ether right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. 140141 �.,�< (vf,.s 3� 9 Sig4na0ecif Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS :F DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.